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What to Expect During Your Consultation for Breast Augmentation

Wednesday, January 17th, 2018

When you arrive for your breast augmentation consultation at our Champaign or Bloomington, Illinois, office, you will be greeted by our patient coordinator. She will ask you to fill out very short registration form. A member of our clinical team will escort you back our breast consultation room and will ask some questions regarding your health history. We will ask you for a list of current prescribed medications, allergies, past surgeries and dates.

You will then meet with Dr. Castillo to discuss your goals and desires for breast augmentation. Dr. Castillo and a member of clinical/surgical team will complete a quick physical exam, including some chest measurements. Once he knows your measurements and desires, he will be able to suggest an appropriate breast implant size for your body proportions. Then the fun part begins! We will give you a few sets of implants to try on to help you visualize your new body proportions. This will allow you to determine your choice of implant size with ease!

Once you find a size that you like, Dr. Castillo will talk in detail about what you can expect before, during, and after your breast augmentation surgery. Personally, I think thoroughness is one of Dr. Castillo’s best attributes. New patients (and long-standing ones too) continually comment on how much they appreciate both his willingness to be thorough during his explanation and that he is clear about realistic expectations and body proportions. Our goal is for you to gain the knowledge you need to make an educated decision that is BEST FOR YOU.

Speaking of decisions… I just want to be clear—you do not need to make a decision at your consultation appointment! No pressure! Think of this as a fact-finding mission. You can go home and think about the information your gathered during your consultation. Is breast augmentation right for you? Think about your experience with Dr. Castillo, our facility, and our staff. Are we the right team for you? Of course that being said, many of our patients do choose to schedule their surgeries while they’re here for their consultations. So, if that is what you prefer, we are able to get everything set up for you before your leave our office.

One of the more important things about having surgery in a private, fully accredited surgical facility rather than a hospital is that you will already know the staff prior to your surgery. The staff members that you meet during your consultation and pre-op visits will be with you on the day of your surgery, in your recovery room with you, checking in with you by phone after surgery, and at each of your post-operative visits.

I recommend checking out a few of my other blog posts on breast augmentation:

To meet with Dr. Castillo and learn more about breast augmentation, request a consultation or call our office in Champaign or Bloomington.

Best Regards!

Roxanne Grace Hammond
Skincare and Laser Specialist
G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY http://www.cosmeticplasticsurgery.com

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800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)
309-662-0436 Bloomington

Post Breast Augmentation Massage

Thursday, October 15th, 2015

My thoughts on the value of massaging breast implants.

There is a controversy following breast surgery as to should breast implants be massaged or not, and in order to answer this question we need to go into just what happens during a breast augmentation.

CPS Blog Photo 5042 A breast augmentation typically done below the pectoral muscle (submuscular) is one in which a pocket is developed beneath the breast, above the thorax (chest cage), and in between the midline (the sternum), and the lateral border of the pectoral muscle just before the armpit (axilla).  This pocket needs to be large enough to accept and contain a breast implant.  We need to remember that a breast implant is typically an envelope filled with saline solution or an envelope filled with silicone gel.

In my Champaign and Bloomington-Normal cosmetic surgery practices, typically we use saline prostheses; however, these thoughts are applicable to both silicone and saline prostheses.  Neither saline solution or silicone gel can get hard; however, certain implants (breasts) become firm or hard.  So, how does this happen?  In order for an implant to feel firm or hard your body needs to make a capsule, that is, a cover over the implant that is tight.  This can happen even if it is not very thick.  We actually can make a good example by putting a piece of Kleenex on top of an implant and putting some pressure with that Kleenex over the implant, this will make the implant feel pretty hard.  So, it is not difficult to make an implant feel firm or hard if even a thin capsule becomes snug or tight over an implant.

Massaging will prevent this capsule over the implant from becoming “tight” over the implant.  This is done by moving the prosthesis up, down, towards the sternum and towards the axilla.  When one does this, there is more room inside of the pocket for the implant to fit in.  This keeps the implant feeling soft.  This is important not only because implant will feel soft but it is also important in the sense that an implant which moves freely inside of the pocket is one that allows the breast to move normally and behave as a natural breast.  A natural breast moves with normal chest movements so we could even say that there is a certain wiggle of the breast when one moves.  This is desirable and relates to the normality of a breast as compared to a breast that is fixed to the chest wall and it looks fake or unnatural which is typically the case when a prosthesis feels firm.

While we don’t know why some implants become firm in some people and do not in others, we do know that through massage, we can create a wide pocket for the implant to  “live” in.  This allows the implant to feel softer than it would if the pocket was tighter.  It is this simple reasoning that is the answer as to why it is not only desirable but also necessary to massage an implant after breast augmentation surgery.  There really are no drawbacks to massaging an implant.

We also need to remember that in order for an implant to be able to be massaged, it needs to be a prosthesis that is smooth.  Textured prostheses do not lend themselves to movement and so they should not be massaged.  By in large most Breast enhancement surgeries today in the United States are carried out with smooth prostheses, so the argument that all prostheses should be massaged is a good one.

 

 

 

GD. Castillo, MD, FACS

COSMETIC PLASTIC SURGERY https://www.cosmeticplasticsurgery.com

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Breast Asymmetry

Friday, June 10th, 2011

Not All Breasts Are Created Equal

Breast asymmetry is quite common, though the degree and patient perception of it varies.  Often patients are not aware of their asymmetry, they just recognize that they are unhappy with the appearance of their breasts.  Frequently women have one breast that is larger than the other breast or nipple that is positioned lower than the other.  Patient’s often share their stories of frustrations when searching for clothing that will fit properly without accentuating the asymmetry and the continual distress it causes them.

If breast asymmetry is so common, why does it bother us females so much if our breasts are not perfectly symmetrical?  Maybe as women, we just haven’t had as many opportunities to compare our breasts to the breasts of the average women unlike say… women living in other countries, like maybe…France, where breasts seem to be on display. Maybe it’s because we torture ourselves by thinking our partner is comparing our breasts imperfections to the perfectly perky, perfectly shaped, perfectly sized, perfectly air brushed breasts in magazines.  Maybe it is because we remember what our breasts looked like before children. Maybe it’s because we just want to be the best self we can be. The list could go on indefinitely I’m sure. Unfortunately, there isn’t much comfort to be found in the idea that there are lots of women facing the same imperfections.

Fortunately, Dr. Castillo has decades of experience in dealing with and developing solutions for this very problem.  For those of you who have not had the pleasure on meeting G.D. Castillo, M.D., “as a surgeon (and an individual) he is a breath of fresh air” as quoted by one of our patients.  I must agree!  He is a truly gifted surgeon with a compassionate, understanding, engaging bedside manner. Dr. Castillo’s goal is your goal: to create beautiful breasts that look and feel exactly as you envisioned them.

At Cosmetic Plastic Surgery Clinic, we offer options to address each type of asymmetry concern.

1.     Breast augmentation – This procedure may involve inserting a breast implant in one or both breasts, depending on the individual patient’s needs.

2.     Liposuction – Many times liposuction of the larger breast can be used to simply equal out the volume / size of your breasts without breast implants.

3.     Breast Reduction – This cosmetic surgery procedure can be used to reduce the size of one or both breasts to create breast symmetry.

4.     Breast Lift (Mastopexy) – This breast surgery is used improve breast ptosis (sagging) in one or both breasts, reshaping the breasts to create beautiful symmetrical breasts.

5.     Nipple Reduction or Nipple Augmentation – This cosmetic procedure can be used to increase, decrease or equalize the size and shape of the nipple and give balance to the breasts.

6.     A combination of one or more of the above breast surgeries is sometimes needed to correct the asymmetry in its entirety.

If you be are interested in more information  on  Breast Asymmetry solutions, call  Cosmetic Plastic Surgery Clinic’s, Savoy, Illinois (Champaign-Urbana) location at 217-359-7508 or  Cosmetic Plastic Surgery Clinic’s Bloomington, Illinois location at 309-662-0436 to schedule a consultation with Dr. Castillo and have all of your questions answered and your concerns relieved.

Roxanne Hammond

Skin Care & Laser Specialist for Cosmetic Plastic Surgery

Roxanne Hammond, RMA
Skincare and Laser Specialist
G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY
Become a Facebook Fan of CPS @  http://www.facebook.com/pages/Cosmetic-Plastic-Surgery/65943304419
https://www.cosmeticplasticsurgery.com
800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)
309-662-0436 Bloomington

ASK OUR EXPERT:How do I choose the implant size that is right for me?

Thursday, July 30th, 2009

Q:  I am considering breast augmentation. How do I know which size implant I should chose?

A:  Making the decision about breast size is a very personal decision. If you have not already had a consultation with a reputable cosmetic plastic surgeon, I recommend that you talk with one. Your surgeon and his staff should be able to answer many of your questions about implants and sizes. They should be able to talk with you more about how to select the right sizing with your particular body shape while keeping your goals in mind. Here are 3 options that can help you make a visual decision about sizing.
OPTION #1:
The majority of surgeons use “the baggie of rice method,” although Dr. Castillo offers a much more realistic option for his patients in both the Savoy (Champaign – Urbana) and Bloomington offices. To utilize the at home baggie of rice method, you can put rice, oatmeal, or birdseed in a sandwich baggie. Do not use a zip lock baggie as they are too firm. (1 ? cups = 10 ounces or 1 ? cups = 12 ounces…) Most breast augmentations utilize between 9 – 14 ounces for each breast (270cc – 420cc per breast). You should probably start with 10 ounces then adjust as you prefer. Select a bra for the size you want to be. Put the filled baggies inside the unpadded bra. Once you find the size baggie you are comfortable with, you may want to wear it for a few hours, with different shirts, do some normal daily activities…this will help you decide if the size is truly comfortable.
OPTION #2:
In both our Savoy and Bloomington offices, Dr. Castillo provides the option of trying on professional sizer implants in the office. This option by far offers the most natural, realistic visual comparison.  We have a variety of sizes so that our patients can get a good idea of what their results will look like.
At the time of the consultation, we give the patient an unpadded bra. The patient can also bring one if she knows about what size she would like to be. I suggest that our patients bring 2 different style tops; one form-fitting, one loose fitting. This gives our patients a great feel for how each size can change their body appearance. Of course our specially training staff is available to personally assist each patient and answer any questions they may have. Our patients love this option.  I think they feel much more confident in their decision.
OPTION #3: NEW
Allergan, the makers of Natrelle Breast Implants, Botox, Juvederm and Latisse, just started offering an exclusive kit for women who are considering breast implants. You can order this kit for $45.00 on-line by going to Natrelle.com. The kit includes four sample implants (275cc, 325 cc, 375 cc, & a 425 cc), a bra and an educational DVD and booklet, plus a total of $170.00 in rebates! The rebates include:

A:  Making the decision about breast size is a very personal decision. If you have not already had a consultation with a reputable cosmetic plastic surgeon, I recommend that you talk with one. Your surgeon and his staff should be able to answer many of your questions about implants and sizes. They should be able to talk with you more about how to select the right sizing with your particular body shape while keeping your goals in mind. Here are 3 options that can help you make a visual decision about sizing.

OPTION #1:
The majority of surgeons use “the baggie of rice method,” although Dr. Castillo offers a much more realistic option for his patients in both the Savoy (Champaign – Urbana) and Bloomington offices. To utilize the at home baggie of rice method, you can put rice, oatmeal, or birdseed in a sandwich baggie. Do not use a zip lock baggie as they are too firm. (1 1/4 cups = 10 ounces or 1 1/2 cups = 12 ounces…) Most breast augmentations utilize between 9 – 14 ounces for each breast (270cc – 420cc per breast). You should probably start with 10 ounces then adjust as you prefer. Select a bra for the size you want to be. Put the filled baggies inside the unpadded bra. Once you find the size baggie you are comfortable with, you may want to wear it for a few hours, with different shirts, do some normal daily activities…this will help you decide if the size is truly comfortable.

OPTION #2:
In both our Savoy and Bloomington offices, Dr. Castillo provides the option of trying on professional sizer implants in the office. This option by far offers the most natural, realistic visual comparison.  We have a variety of sizes so that our patients can get a good idea of what their results will look like.

At the time of the consultation, we give the patient an unpadded bra. The patient can also bring one if she knows about what size she would like to be. I suggest that our patients bring 2 different style tops; one form-fitting, one loose fitting. This gives our patients a great feel for how each size can change their body appearance. Of course our specially training staff is available to personally assist each patient and answer any questions they may have. Our patients love this option.  I think they feel much more confident in their decision.

OPTION #3: NEW
Allergan, the makers of Natrelle Breast Implants, Botox, Juvederm and Latisse, just started offering an exclusive kit for women who are considering breast implants. You can order this kit for $45.00 on-line by going to Natrelle.com. The kit includes four sample implants (275cc, 325 cc, 375 cc, & a 425 cc), a bra and an educational DVD and booklet, plus a total of $170.00 in rebates! The rebates include:

  • $50.00 off your breast implants
  • $50.00 off your next Botox injection
  • $50.00 off your next Juvederm dermal filler
  • $20.00 off Latisse (for longer, thicker lashes)

I have viewed the DVD. I think it would be helpful for anyone who is considering breast implants. The DVD introduces you to a patient who has Natrelle breast implants as she shares her experience with her daughter who is now considering breast enhancement. You will view some before and after photos of breast augmentation. More importantly, the DVD takes you through a consultation so you know what to expect. I think this kit will be helpful in preparing you to ask the right questions when you are talking with your surgeon.

I would recommend using your own unpadded bra with the sample implants. The sample implants from this kit allow you to try them on with different pieces of clothing in the privacy of your own home. This will help you get a good idea of what size implants you will be comfortable with. In my opinion, they do not give near the realistic visual as the professional implants that we have in the office. The implant samples from the kit do not provide as smooth or realistic shape as our profession implant provide.  Therefore, even if you purchase the kit, I would still recommend taking advantage of the profession sizer fitting at our office.

If you are interested in getting further information on breast augmentation (breast enhancement) options, call our office to schedule a consultation with G.D. Castillo, M.D. at 217-359-7507 for the Savoy location (Champaign-Urbana area) or 309-662-0436 for the Bloomington, IL location.

https://www.cosmeticplasticsurgery.com/cosmetic-surgery/breast-enlargement.cfm

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This question was answered by Roxanne, Medical Skincare and Laser Specialist at Cosmetic Plastic Surgery Skin Restoration and Laserknow which Institute. Please contact us for additional information at  217-359-7508 or 309-662-0436